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RecruitingNCT04988685SIROOPUpdated Oct 29, 2024

SIROOP Registry - a Prospective Registry Study to Evaluate the Outcomes of Coronary Artery Disease Patients Treated with SIROlimus or Paclitaxel Eluting Balloon Catheters

An observational study in Coronary Disease, Coronary Artery Disease and Coronary Restenosis, sponsored by Luzerner Kantonsspital. Recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-29.

Sponsored by Luzerner Kantonsspital · Observational

From the registry’s dates

  • Started Jun 2021; still recruiting 5 years 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,000
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the SIROOP Registry is to retrospectively and prospectively collect baseline, clinical and procedural characteristics of patients who have undergone PCI and are treated with either currently available sirolimus or paclitaxel coated DCBs (see Table 1), irrespective of clinical presentation as well as to prospectively collect data about their clinical outcomes. Outcomes will be compared in different clinical subgroups. The impact of current DCBs in different clinical settings and coronary artery lesions on cardiovascular outcomes will be assessed.

Read the detailed description

Objectives in detail:

  • To evaluate procedural success, efficacy, performance and clinical outcomes among various patient cohorts, who undergo PCI using currently available DCBs:

    1. Periprocedural outcomes/complications, which will be analyzed, include: final result (e.g. residual stenosis, TIMI flow), dissections, perforations, prevalence of thrombus (assessed by angiography and intravascular imaging)
    2. Short and long-term clinical outcomes of interest comprise among others: new MI, unstable angina (UA), target lesion failure, target vessel revascularization, target lesion failure/ revascularization, repeat hospitalization, new/worsening heart failure, cardiogenic shock, stroke, bleedings, cardiovascular death and all-cause death.
  • To describe procedural and clinical performance of various DCB, either alone or in combination with other stent and coronary scaffold devices
  • To identify optimal strategies for lesion preparation in cases treated with DCB
  • To identify possible predictors for TLR after treatment with DCB
  • To describe early and late angiographic and OCT-findings among coronary artery disease (CAD) patients treated with DCB and/or various metallic stent and scaffold devices
  • To evaluate the impact of different antithrombotic regimens on patient's clinical outcomes
  • To study procedural and clinical outcomes among CAD patients requiring hemodynamic support using mechanical devices.
  • To describe economic implications (cost-effectiveness) of various interventional treatments for CAD.
02

Conditions studied

  • Coronary Disease
  • Coronary Artery Disease
  • Coronary Restenosis
  • Coronary Arteriosclerosis
  • Coronary Artery Calcification
  • Stable Chronic Angina
  • Angina Pectoris
  • Angina, Stable
  • Angina, Unstable
  • Stent Thrombosis
03

In context

Coronary Disease

1,520 studies on the registry are indexed under Coronary Disease; 167 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 916 across 478 observational studies indexed under Coronary Disease.

Browse Coronary Disease studies →

Lead sponsor

Luzerner Kantonsspital is the lead sponsor of 62 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This registry will recruit consecutive patients treated with either DCB alone or a hybrid strategy (metallic stent plus DCB). Ideally any patient treated with a DCB will be included in the present registry, either presenting with a de-novo coronary lesion (either elective or urgent procedure), with a ST or ISR.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject >18 years of age
  • Patients with significant acute or chronic coronary de-novo lesions or ISR lesions requiring treatment using PCI
  • Treatment with at least one DCB (device choice at the operator's discretion) In case of a patient with lesions treated at different procedural time, lesions will be separately collected and documented
  • Subjects must be willing to sign a patient (PIC) or must have signed the General Consent (GK).

Exclusion criteria

Exclusion Criteria:

  • Patient is \<18 years of age
  • Patient unwilling or unable to provide
  • pregnancy and lactation
  • Indication for surgical revascularization
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,000 participants (estimated)
Target follow-up
10 Years
Patient registry
Yes

Groups and cohorts

  • Treatment

    The project ́s main goal is to collect baseline, clinical and procedural data as well as to assess angiographic and clinical outcomes of CAD patients treated with contemporary DCBs.

    Device: Sirolimus Eluting Balloon

Interventions

  • DeviceSirolimus Eluting Balloon

    PTCA with either a Sirolimus eluting balloon or Paclitaxel eluting balloon

    Also known as: Paclitaxel Eluting Balloon

06

What researchers measure

Primary outcomes

  1. Rate of target lesion failure (TLF) and target lesion revascularization (TLR)

    Time frame: at 1 year

Secondary outcomes

  1. Rate of combination of major adverse cardiac and cerebrovascular events (MACCE) (including new MI, TLR or cardiovascular death)

    Time frame: at 180 days, 1, 2 and 5 years

  2. Rate of MACE

    Time frame: at 180 days, 1, 2 and 5 years

  3. Rate of new MI (NSTEMI / STEMI)

    Time frame: at 180 days, 1, 2 and 5 years

  4. Rate of TIA or stroke

    Time frame: at 180 days, 1, 2 and 5 years

  5. Rate of acute vessel closure

    Time frame: at 180 days, 1, 2 and 5 years

  6. Rate of stent thrombosis or ISR

    Time frame: at 180 days, 1, 2 and 5 years

  7. Rate of target vessel revascularization (TVR)

    Time frame: at 180 days, 1, 2 and 5 years

  8. Rate of target lesion revascularization (TLR)

    Time frame: at 180 days, 1, 2 and 5 years

  9. Rate of target lesion failure (TLF)

    Time frame: at 180 days, 1, 2 and 5 years

  10. Rate of ischemia driven TLR

    Time frame: at 180 days, 1, 2 and 5 years

  11. Rate of all-cause death

    Time frame: at 180 days, 1, 2 and 5 years

  12. Rate of cardiac death

    Time frame: at 180 days, 1, 2 and 5 years

  13. Rate of all myocardial infarction and TV-MI

    Time frame: at 180 days, 1, 2 and 5 years

  14. Rate of rehospitalization for recurrent angina

    Time frame: at 180 days, 1, 2 and 5 years

  15. Rate of hospitalization for HF

    Time frame: at 180 days, 1, 2 and 5 years

  16. Rate of rehospitalization for HF, resuscitated cardiac arrest or implantable cardioverter- defibrillator (ICD) implantation

    Time frame: at 180 days, 1, 2 and 5 years

  17. Rate of bleeding events (access site or non-access site related) according to the BARC classification

    Time frame: at 180 days, 1, 2 and 5 years

  18. Rate of vascular complications (according to VARC criteria)

    Time frame: at 180 days, 1, 2 and 5 years

  19. Rate of cardiogenic shock

    Time frame: at 180 days, 1, 2 and 5 years

  20. Rate of acute renal failure/ contrast-induced nephropathy (CIN)

    Time frame: at 180 days, 1, 2 and 5 years

  21. Rate of new ventricular arrhythmias

    Time frame: at 180 days, 1, 2 and 5 years

  22. Rate of major adverse limb events (MALE)

    Time frame: at 180 days, 1, 2 and 5 years

  23. Rate of new York Heart Association (NYHA) class

    Time frame: at 180 days, 1, 2 and 5 years

  24. Rate of angina according to Canadian Cardiovascular Society (CCS) Score

    Time frame: at 180 days, 1, 2 and 5 years

  25. Rate of procedural success (final diameter stenosis < 30% without flow-limiting dissections)

    Time frame: at 180 days, 1, 2 and 5 years

  26. Rate of periprocedural complications (e.g. coronary perforations, no-reflow)

    Time frame: at 180 days, 1, 2 and 5 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Cioffi GM, Madanchi M, Attinger-Toller A, Bossard M, Cuculi F. Pushing the Boundaries: Drug-Coated Balloons to Treat a Calcified and Thrombotic Lesion in Acute Coronary Syndrome. Am J Case Rep. 2022 Oct 5;23:e936950. doi: 10.12659/AJCR.936950. PubMed 36196027 ↗
  • Madanchi M, Cioffi GM, Attinger-Toller A, Seiler T, Somm S, Koch T, Tersalvi G, Wolfrum M, Moccetti F, Toggweiler S, Kobza R, Levine MB, Garcia-Garcia HM, Bossard M, Cuculi F. Metal free percutaneous coronary interventions in all-comers: First experience with a novel sirolimus-coated balloon. Cardiol J. 2022;29(6):906-916. doi: 10.5603/CJ.a2022.0106. Epub 2022 Nov 17. PubMed 36385601 ↗
  • Madanchi M, Attinger-Toller A, Gjergjizi V, Majcen I, Cioffi GM, Epper A, Gnan E, Koch T, Zhi Y, Cuculi F, Bossard M. Treatment of coronary lesions with a novel crystalline sirolimus-coated balloon. Front Cardiovasc Med. 2024 Feb 13;11:1316580. doi: 10.3389/fcvm.2024.1316580. eCollection 2024. PubMed 38414923 ↗
  • Madanchi M, Bossard M, Majcen I, Cioffi GM, Ferraro F, Gnan E, Gjergjizi V, Zhi Y, Bade V, Wolfrum M, Moccetti F, Toggweiler S, Attinger-Toller A, Cuculi F. Outcomes following coronary chronic total occlusion revascularization with drug-coated balloons. J Invasive Cardiol. 2024 Mar;36(3). doi: 10.25270/jic/23.00260. PubMed 38441987 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2021 (actual). Primary completion is estimated for Dec 2026, 66 months after the start.

Of 132 non-industry observational studies under Coronary Disease, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 192. This study's planned 66 months is above that.

Counting every sponsor, half of 154 studies reached it within 47 months; a quarter within 21 and three quarters within 123.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 25, 2021
First posted
Aug 3, 2021
StartActual
Jun 1, 2021
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2031
Last update
Oct 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04988685
Lead sponsor
Luzerner Kantonsspital
Responsible party
Matthias Bossard (Principal Co-Investigator, Luzerner Kantonsspital) — Principal investigator
First posted
Aug 3, 2021
Start date
Jun 1, 2021
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2031 (estimated)
Last update
Oct 29, 2024

Study contacts

Florim Cuculi, MD
Contact
florim.cuculi@luks.ch
+41412052134
Matthias Bossard, MD
Contact
matthias.bossard@luks.ch
+41412051477
Florim Cuculi, MD
principal investigator · Luzerner Kantonsspital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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